Individual
DR. BYRON D. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 E 6TH ST STE 202, ODESSA, TX 79761-4572
(432) 582-8757
(432) 582-8928
Mailing address
PO BOX 4123, ODESSA, TX 79760-4123
(432) 582-2277
(432) 333-2802
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
H5544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134350108
—
TX
Enumeration date
07/10/2006
Last updated
01/05/2016
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